Active NPI
Molly Bierley
- Family Nurse Practitioner
- Hanover, MD
National Provider Identifier
1255715926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R230282
- Practice address
- 7157 Ridge Rd
Hanover, MD 21076-1425 - Phone
- (443) 951-4804
- NPI assigned
- Jul 13, 2015
- Last updated
- Apr 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9324399 | FL | |
| Family Nurse Practitioner | 363LF0000X | R230282 | MD | Primary |
Addresses
Primary practice location
7157 Ridge Rd
Hanover, MD 21076-1425
Mailing address
1502 Wakefield Rd
Edgewater, MD 21037-4625
Other practice location 1
10155 Okeechobee Blvd
West Palm Beach, FL 33411-1404
Phone (561) 784-2734 ext. 8221
Other practice location 2
4390 Montgomery Rd
Ellicott City, MD 21043-6068
Phone (410) 353-0798
Other names 1
- Molly Bausum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9324399 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Health LLC | Current | Accepting new patients |
Locations
7157 Ridge Rd
Hanover, MD 21076
Phone (443) 951-4804
Interoperability endpoints
- molly.bierley.1@14940.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Hanover, MD
- NPI 1235760653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1255715926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 WAKEFIELD RD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210374625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7157 RIDGE RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761425",
"telephone_number": "443-951-4804"
}
],
"practiceLocations": [
{
"address_1": "10155 Okeechobee Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334111404",
"country_code": "US",
"telephone_number": "561-784-2734 x8221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4390 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210436068",
"country_code": "US",
"telephone_number": "410-353-0798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIERLEY",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9324399",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R230282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "BAUSUM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.